After opening the lid, the purple sand tea cup was steaming. Director Han took a sip and fell into thought.
Although Yang Ping is already an attending physician, the number of attending physicians in the department is already full. Yang Ping was recruited according to the resident physician quota, so he can only use it as a resident physician first. If he performs well, he will find a way to mention it later.
Attending physician position.
Director Han touched the hot purple sand cup: "You are in my medical team. There are two doctors in my team, the attending physician Song Zimo and the resident doctor Zhang Lin. Xiao Song and I are going out for a meeting these days. I
Let Zhang Lin take you to familiarize yourself with the environment first."
Yang Ping nodded.
Large hospitals are generally divided into groups, with high and low professional titles in each group. One senior professional title, chief physician or deputy chief physician, serves as the team leader; one intermediate professional title, attending physician; one or several junior professional titles, resident physician. If it is a teaching hospital,
There are also interns, graduate students, and visiting students.
Resident doctors generally take care of patients directly, admitting patients every day, writing medical records, scheduling surgeries, changing dressings, etc. The attending doctor does not have to take care of patients directly and does not need to do the chores of residents. He is mainly responsible for assisting the team leader in performing surgeries and guiding resident doctors.
Take care of patients.
Each group is an independent medical unit, and the group leader is fully responsible for the medical technology of the group. Except for special patients who require the intervention of the department director, general surgeries are completed by this group.
Each group is completely parallel and does not interfere with each other. Of course, if other groups are required to cooperate, they can also cooperate with each other.
Some hospital department directors do not lead a team, and some hospital department directors also lead a team of their own. Director Han leads a team of his own, including attending physician Song Zimo and resident physician Zhang Lin.
"If anything happens in the past few days, please help Zhang Lin more. If there is anything that cannot be handled, report it to Director Tian in time. Director Tian is a very good person and has a strong scholarly spirit. You will question his diagnosis in person today. He
Not only was he not angry, he immediately corrected the mistake. You did the right thing today. If you hadn't reminded you promptly and persisted confidently, we would have been involved in a medical dispute. The patient also suffered and had to have one more surgery. It's not only the best, it's not only the best.
Books should only be true, which is the basic principle of doing science."
"I understand, director, and I will remember what the director said." Yang Ping said sincerely.
"Well, work hard. Sanbo is a good platform and our orthopedics department is an excellent team. You will gradually realize it." Director Han still has surgery and cannot talk for too long.
According to Director Han's instructions, Yang Ping went to see Zhang Lin. Zhang Lin went to the ward. A trainee from another group came over and said secretly: "You and Zhang Lin? Be careful, the doctors under him live like serfs."
"
After this, Pearson kindly reminded him and slipped away. Yang Ping was sitting in the office. What is the life of a serf?
Zhang Lin finished his work and returned to the doctor's office. He had just graduated from his master's degree and was a resident doctor. He was tall and thin, with acne on his face. He wore glasses and was not very communicative.
"Hello, Dr. Zhang, I'm Yang Ping, Director Han -" Yang Ping stretched out his hand.
"I know, Director Han called me to write medical records? Change dressings? Can you do it?" Zhang Lin's tone was a bit unfriendly, and he ignored Yang Ping's extended hand, sat down next to a computer, opened the HIS system and wrote a medical order.
"Bed 1, bed 3, bed 8, bed 10, bed 11, bed 12 - the medicines have been changed. For all patients, see if there are any missing disease records and make up for them." Zhang Lin adjusted his glasses.
His eyes never left the computer screen.
"Are you talking to me? Doctor Zhang?" Yang Ping wasn't sure who he was talking to.
Zhang Lin had a temper: "If I don't tell you, who should I tell? Tell the computer?"
During shift change in the morning, Zhang Lin was publicly criticized by Director Han because of Yang Ping. He had been feeling unhappy and now was the time to vent his anger.
Grandma, what's your attitude? I'm already treating you. You asked me if it would be okay to write medical records and change dressings. Are you going to treat me as an intern? Yang Ping retracted his hand:
"I really don't know how. I haven't written a medical record for a long time, and I haven't changed medicines. Could you please teach me, Dr. Zhang?" Yang Ping said calmly.
Zhang Lin looked at him and refused to obey his orders. He immediately became angry and wanted to slander someone, but a trainee at the door called Zhang Lin: "Teacher Zhang, you are ready."
A patient who underwent spinal fracture surgery in another hospital developed fever ten days after the operation. Blood tests and MRI tests showed that there was an infection in the spinal canal. He was transferred to Sanbo Hospital. The superior doctor asked Zhang Lin to do a lumbar puncture and draw fluid for microscopic examination.
Find white blood cells, bacterial culture and drug susceptibility testing.
Zhang Lin glared at Yang Ping, "I'll take care of you later. You're new here and you still refuse to obey the discipline. If I can't cure you, how can I take care of others?"
Yang Ping didn't want to argue with this kind of person. He stuck a chicken feather in his head and thought he was the Monkey King.
Get a lumbar puncture and have a look.
The patient was very fat, lying on his side, curled up on the bed, hunched over like a shrimp. The doctor had already finished sterilizing and draping the bed.
This resident doctor is quite impressive. Just like a professor, he performs a lumbar puncture and has several people waiting on him to disinfect and lay out the sheets in advance.
Zhang Lin took the sterile gloves handed over by the trainee, opened them, put them on, then like a professor, picked up the puncture needle, touched the anterior and posterior superior iliac spines, and punctured the gap 3/4 of the way around the waist.
The doctors at the tertiary teaching hospital have very good basic skills and their movements are very standardized. However, once the needle is inserted, there is no so-called breakthrough feeling and no cerebrospinal fluid flows out. What the needle encounters is obviously hard bone.
Zhang Lin stopped and thought for a moment: "Put the film in front of me and I'll take a look."
Another trainee showed him the patient's lumbar spine X-rays, CT and MRI one by one. Yang Ping also looked at it. This patient had already undergone lumbar spine surgery and had bone grafting. There were scars everywhere and the anatomical relationship.
It's already a mess.
It is estimated that anesthesiologists who perform spinal anesthesia every day may not be able to successfully puncture, let alone orthopedic surgeons.
Zhang Lin felt the difficulty, so he took out the needle, adjusted it, and punctured it again, but it still didn't work. If it didn't work after repeated trials, it couldn't be continued indefinitely, otherwise the patient's waist would be poked out of the sieve.
After wearing it almost a dozen times, Zhang Lin didn't dare to wear it again, but with so many people watching, he lost his dignity and his forehead was covered with sweat.
"Doctor Zhang, why don't you give in and let me try?" Yang Ping said with a smile.
This kind of lumbar puncture requires basic skills training in the system. I don’t know how many times I have done it, but I can still get it right with my eyes closed. When I just watched the film, I already had some understanding of the anatomy.
"You?---Okay, you try."
Zhang Linzheng was sweating on his forehead. Seeing Yang Ping's initiative, he immediately got off the donkey along the slope so as not to lose face in front of the students.
Zhang Lin stood up and Yang Ping sat down. The supervisor handed over a pair of sterile gloves and Yang Ping put them on.
At this time, Zhang Lin was about to take off his gloves. Yang Ping said sternly to Zhang Lin: "Don't take off your gloves. I'll help you pass the things later."
While talking, Yang Ping picked up the puncture needle in the sterile tray of the disposable lumbar puncture bag. Without thinking, he put a needle into the lower back and inserted it directly in. He reached the point in one step, making the people around him tremble with fear.
At the end of the needle, turbid cerebrospinal fluid was falling drop by drop.
Before anyone could react, the puncture was successful and the puncture needle had reached the spinal canal and subarachnoid space.
Trainees and interns looked at him with admiration.
"Doctor Zhang, pass the syringe!" Yang Ping ordered.
At this time, Zhang Lin's sterile gloves had not yet been taken off. He was the only one who could help deliver the contents of the sterile bag. Zhang Lin immediately handed over the syringe.
"Slow down, catch insects!" Yang Ping scolded.
Zhang Lin was trained to lose his temper. In front of so many students, he struggled for a long time without being able to wear it, but he succeeded in one attempt.
Yang Ping connected the syringe and drew out a little cerebrospinal fluid for testing.
Then he stood up and said, "Dr. Zhang, please clean up these things. When you're done, come over with the students. I'll show you how to do a lumbar puncture."
Yang Ping took off his gloves, threw them into the opened sterile bag, and left the ward without looking back.
——
Yang Ping returned to the doctor's office and sat down to rest. His phone vibrated. When Yang Ping saw it, it was Xiao Wu's call.
"Boss!"
"I've rented a house for you. It's just across the road from the hospital, just across the overpass. I'll bring you the keys after work in the afternoon. I also received a call, but it was from a resident doctor in the emergency department, who specializes in ambulances. In a few days
Go to the interview tomorrow, no matter what, carry the stretcher, you have the strength, work with strength, it is glorious." Xiaowu chirped.
"Brother, I'm busy. I'll call you at seven o'clock. Let's have dinner together in the evening. I'll treat you." Yang Ping hung up the phone.
Because my original house was in an urban village in the city, and now I have moved to the suburbs, I need to rent a new house.
Yang Ping didn't have time, so he asked the Xiaowu Gang to return the house and rent a house near Sanbo Hospital.
The hospital also has dormitories, but a suite where several people live together is inconvenient. You have to queue up to go to the toilet. You might as well rent a house, which would give you more freedom.
When Yang Ping submitted his resume, he also asked Xiao Wu to submit his resume. Unexpectedly, the two of them chose Sanbo Hospital.
"Doctor Yang---" Zhang Lin appeared in front of Yang Ping with a red face.
Yang Ping sounded like a superior doctor: "This kind of puncture is quite difficult and is beyond your ability. In the future, if you encounter such difficult operations, call me and we will do it in a group. Why don't you be polite."
I just watched the movie this morning. If it was a matter of luck, the skill of piercing the waist just now was not a blind cat chasing a mouse. I stabbed it more than ten times without success, but others succeeded once, so I couldn’t accept it.
In the face of strength, Zhang Lin is willing to bow his head.
"Well, I'm sorry just now. Writing medical records and changing dressings is for the graduate students and interns to do. I will help you get familiar with the environment in the department. Director Han is out for a meeting. Our group has no surgeries today."
Zhang Lin was very embarrassed. Just now he wanted to boss someone around. How can he be bossed around by you at his level?
